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1 <br /> C ERTIFIED MAIL. RECEIPT <br /> - 3 <br /> c3 (Domestic Mail Only; <br /> .. _ .. .. - .. r� <br /> m <br /> o <br /> GREELEY CO 8' '3 <br /> Ir <br /> rr <br /> Postage $ $0.49 <br /> l 0" Certified Fee ,rA� <br /> Postmar <br /> p Return Recelot Fee <br /> (Endorsement Required) $2. 0 �HarQ_lu�� <br /> O 41 Restricted Delivery Fee <br /> (Endorsement Required) $0.Lrl <br /> 1 <br /> ru Total Postage&Fees $ $6.49 <br /> - <br /> ru <br /> Sent To <br /> m uJ <br /> C Street,Apt.No.; <br /> or PO Box No. <br /> ---------------- ----------- -- <br /> I I JrU �_rf----------- -1 / J�•C.� <br /> ra <br /> O r <br /> N - ----------------------------- <br /> FCrty,State,ZIP+4 <br /> L't <br /> ■ Complete items 1,2,and&Also complete a ra <br /> Rem 4 N Ro*ktgd Del►lrery a decked, X t a Agent <br /> a Prkrt your name and addm a on the reverse 0 Addrsr <br /> so that we can retum the card to you. g,Awelved by ftdad Non) Detj <br /> 2 Ataoh this card to the back of the nwilpieoe, Ara on `-6f <br /> or on the front If space perrnib Mario <br /> P.is"wV address MWwtfi n ftn 1? ❑Yea <br /> 1•Article Addrpesed to; If YES.eater dWWY address belowr A No <br /> P&MMIWO <br /> �� J Fl <br /> c:ertined t�aq�► ❑P,ianr% e�cpsss' <br /> ��� 0etum Reoceipt for MworMn <br /> 0 ftWW MM 0 Colod on D*my <br /> 4. Resvlotsd DeAwry?OMM Fee) E3 Yes <br /> 2- Aftle a"mr <br /> (7iwwfar Horn serrlce label) 7013 2250 0001 9969 0310 <br /> av,rrler <br /> M Form 3611,,July 2013 Docneetto Re4trn RQGW <br /> �xhtb �� Q P5 aT3 <br />